Columbus Children's Dentistry Pllc

NPI #1265885057 in Columbus, Texas

Provider Information

NPI Number: 1265885057
Entity Type: Organization
Organization Name: Columbus Children's Dentistry Pllc
Primary Specialty: Dentist
Enumeration Date: Jul 18, 2016
Last Updated: Mar 7, 2025

Practice Location

Address: 106 SHULT DR STE AB
City: Columbus
State: Texas
ZIP Code: 78934-3016
Phone: (979) 733-8844

Authorized Official

Name: SHAUN WILLIS, DMD
Title: OWNER
Phone: (979) 733-8844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist	122300000X	Primary

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